Arthroscopic reconstruction of anterior cruciate ligament injury with and without anterolateral ligament reconstruction in patients with sports injury

Authors

  • Hossam Abdelghany Abdelsattar Orthopedic Surgery Department, Faculty of Medicine, Beni Suef University, Beni Suef, Egypt.
  • Emad Elbana Orthopedic Surgery Department, Faculty of Medicine, Beni Suef University, Beni Suef, Egypt.
  • Mohamed Alaaeldin Abdelrahman Orthopedic Surgery Department, Faculty of Medicine, Beni Suef University, Beni Suef, Egypt.
  • Ayman Abdelbaset Abdelsamad Orthopedic Surgery Department, Faculty of Medicine, Beni Suef University, Beni Suef, Egypt.
DOI: https://doi.org/10.6018/sportk.672021
Keywords: Arthroscopic Reconstruction, Anterior Cruciate Ligament Injury, Anterolateral Ligament Reconstruction, Patients, Sports Injury

Abstract

The current study aimed to evaluate postoperative knee stability in cases with high grade pivot shift test treated with ACL reconstruction with ALL reconstruction versus cases treated with ACL reconstruction only. This prospective comparative randomized study involved 40 patients with unilateral single ligamentous ACL injuries exhibiting advanced pivot shift test results. Patients were classified equally into two cohorts: Group I received solo ACL repair (ACLR), whereas Group II got ACL reconstruction with ALL reconstruction (ALLR). The postoperative scores from the International Knee Documentation Committee, Cincinnati, Lysholm, and Tegner were considerably elevated in the ACLR + ALLR group compared to the ACLR group (p<0.05), with notable improvements seen in both groups (p<0.05). The negative post-operative Lachman and Pivot shift tests were substantially greater in the ACLR + ALLR group than the ACLR group (p<0.05), and there was a high improvement pre- and post-operatively in the ACLR + ALLR group (p<0.05). The anterior drawer test demonstrated a substantial enhancement in both groups (P<0.05). Post-operative effusion exhibited a wide variation between groups (p<0.05), and there was a notable improvement in both groups (p<0.05). Post-operative pain was considerably reduced in the ACLR + ALLR group compared to the ACLR group (p<0.05), with notable improvement seen in both groups (p<0.05). The single leg hop test showed considerable improvement in both groups (p<0.05). Postoperative patient satisfaction exhibited a statistical variation between groups (p<0.05). Additional rotational stability is achieved through ACL + ALLR reconstruction, which enhances the likelihood of professional athletes returning to sports activities.

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References

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Published
17-07-2025
How to Cite
Abdelghany Abdelsattar, H., Elbana, E., Alaaeldin Abdelrahman , M., & Abdelbaset Abdelsamad, A. (2025). Arthroscopic reconstruction of anterior cruciate ligament injury with and without anterolateral ligament reconstruction in patients with sports injury. SPORT TK-EuroAmerican Journal of Sport Sciences, 14, 65. https://doi.org/10.6018/sportk.672021
Issue
Vol. 14 (2025)
Section
Articles

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The works and papers that are published in this Journal are subject to the following terms:

1. The Publication Service of the University of Murcia (the publisher) has the Publication Rights (Copyright) to the published papers and works, and favors and permits the reusing of the same under the license indicated in point 2.

© Servicio de Publicaciones, Universidad de Murcia, 2013

2. The papers and works are to be published in the digital edition of the Journal under the license Creative Commons Reconocimiento-No Comercial-Sin Obra Derivada 3.0 España (legal text). The copying, using, spreading, transmitting and publicly displaying of the papers, works or publication are permitted as long as: i) the authors and original sources (Journal, publisher and URL of the publication) are quoted; ii) it is not used for commercial benefit; iii) the existence and specifications of this users license are mentioned.

3. Conditions of Self-Archiving. It is permitted and encouraged that the authors spread electronically the pre-print (before printing) and/or post-print (the revised, evaluated and accepted) versions of their papers or works before their publication since this favors their circulation and early diffusion and therefore can help increase their citation and quotation, and also there reach through the academic community.